<%@page language="java" contentType="text/html; charset=UTF-8"
	pageEncoding="UTF-8"%>
<form class="form-horizontal" id="chuxian_">
	<div class="business-padding">
		<table cellpadding="0" cellspacing="0" border="0"
			class="infor-table list-table-detail">
			<tr>
				<td align="right"><label class="control-label np">出险时间：</label>
				</td>
				<td align="right"><select class="select-control np"
					id="chuxian_chuxiantabs" onchange="getChuxianDetailZ();"></select>
				</td>
			</tr>
		</table>
		<table cellpadding="0" cellspacing="0" border="0"
			class="infor-table list-table-detail">
			<tr>
				<td align="right"><label class="control-label np">录入人：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_creatorName" name="">-</div>
				</td>

				<td align="right"><label class="control-label np">录入时间：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_created" name="">-</div>
				</td>
				<td align="right"><label class="control-label np">客户姓名：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_customerName" name="">-</div>
				</td>
			</tr>
			<tr>
				<td align="right"><label class="control-label np">车牌号：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_registrationNumber" name="">-</div>
				</td>
				<td align="right"><label class="control-label np">汇款账号：</label>
				</td>
				<td colspan="5">
					<div class="control-div np" id="chuxian_cardnoRemit" name="">-</div>
				</td>
			</tr>
			<tr>
				<td align="right"><label class="control-label np">保险公司：</label>
				</td>
				<td colspan="5">
					<div class="control-div np" id="chuxian_companyInsurance" name="">-</div>
				</td>
			</tr>
			<tr>

				<td align="right"><label class="control-label np">出险日：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_dateCompensation" name="">-</div>
				</td>
				<td align="right"><label class="control-label np">受理日：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_dateAccept" name="">-</div>
				</td>
				<td align="right"><label class="control-label np">送交日：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_dateSend" name="">-</div>
				</td>
			</tr>
			<tr>
				<td align="right"><label class="control-label np">案件性质：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_natureCase" name="">-</div>
				</td>
				<td align="right" valign="top"><label class="control-label np">事故责任：</label>
				</td>
				<td colspan="3">
					<div class="control-div np" id="chuxian_duty" name="">-</div>
				</td>
			</tr>
			<tr>
				<td align="right"><label class="control-label np">代勘察费：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_feeSurvey" name="">-</div>
				</td>
				<td align="right"><label class="control-label np">修理费：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_feeRepair" name="">-</div>
				</td>
				<td align="right"><label class="control-label np">三者费用：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_feeThird" name="">-</div>
				</td>
			</tr>
			<tr>
				<td align="right"><label class="control-label np">其他费用：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_feeOther" name="">-</div>
				</td>
				<td align="right"><label class="control-label np">合计金额：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_feeTotal" name="">-</div>
				</td>
				<td align="right"><label class="control-label np">获赔金额：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_amountIndemnity" name="">-</div>
				</td>
			</tr>
			<tr>
				<td align="right"><label class="control-label np">退单日：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_dateCacel" name="">-</div>
				</td>
				<td align="right"><label class="control-label np">退单原因：</label>
				</td>
				<td colspan="3">
					<div class="control-div np" id="chuxian_reasonCacel" name="">-</div>
				</td>
			</tr>
			<tr>
				<td align="right"><label class="control-label np">再送交日：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_dateAgain" name="">-</div>
				</td>
				<td align="right"><label class="control-label">收到计算书时间：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_dateCalculationSheet"
						name="">-</div>
				</td>
				<!-- <td align="right">
					<label class="control-label np">时效日：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_countEffective" name="">-</div>
				</td> -->
			</tr>
			<tr>
				<td align="right"><label class="control-label np">打款日：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_dateRemit" name="">-</div>
				</td>
				<td align="right"><label class="control-label np">打款方式：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_typeRemit" name="">-</div>
				</td>
			</tr>
			<tr>
				<td align="right"><label class="control-label np">回寄人：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_operatorSendback" name="">-</div>
				</td>
				<td align="right"><label class="control-label">回寄时间：</label></td>
				<td>
					<div class="control-div np" id="chuxian_dateSendback" name="">-</div>
				</td>
				<td align="right"><label class="control-label np">理赔专员：</label>
				</td>
				<td>
					<div class="control-div np" id="chuxian_operatorSettlement" name="">-</div>
				</td>
			</tr>
			<tr>
				<td align="right"><label class="control-label np">信息备注：</label>
				</td>
				<td colspan="5">
					<div class="control-div np" id="chuxian_remarks" name="">-</div>
				</td>
			</tr>
		</table>
	</div>
</form>
